Early discharge after transfemoral transcatheter aortic valve implantation
| Autor: | Marco Barbanti, Vera Bottari, Patrizia Aruta, Davide Capodanno, Yohei Ohno, Emanuela Di Simone, Piera Capranzano, Sebastiano Immè, Simona Gulino, Giuseppe Caruso, Daniela Giannazzo, Stefano Cannata, Daniele Di Stefano, Wanda Deste, Claudia Tamburino, Martina Patanè, Corrado Tamburino, Giuseppe Gargiulo, Guilherme F. Attizzani, Carmelo Sgroi, Denise Todaro |
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| Přispěvatelé: | Barbanti, M., Capranzano, P., Ohno, Y., Attizzani, G. F., Gulino, S., Imme, S., Cannata, S., Aruta, P., Bottari, V., Patane, M., Tamburino, C., Di Stefano, D., Deste, W., Giannazzo, D., Gargiulo, G., Caruso, G., Sgroi, C., Todaro, D., Di Simone, E., Capodanno, D. |
| Rok vydání: | 2015 |
| Předmět: |
Male
Pacemaker Artificial medicine.medical_specialty Time Factors Time Factor Transcatheter aortic Hemodynamics Patient Readmission New york heart association Transcatheter Aortic Valve Replacement Outcome Assessment (Health Care) Postoperative Complications Internal medicine Outcome Assessment Health Care 80 and over medicine Humans Early discharge Aged Aged 80 and over business.industry Multivariable regression analysis Aortic Valve Stenosis Feasibility Studies Female Incidence Length of Stay Patient Discharge Risk Adjustment Medicine (all) Cardiology and Cardiovascular Medicine Clinical judgement Confounding Aortic Valve Stenosi Surgery Pacemaker Feasibility Studie Artificial Cardiology Postoperative Complication business Human |
| Zdroj: | Heart. 101:1485-1490 |
| ISSN: | 1468-201X 1355-6037 |
| DOI: | 10.1136/heartjnl-2014-307351 |
| Popis: | Background: The aim of this study was to assess the feasibility and the safety of early discharge (within 72 h) after transfemoral transcatheter aortic valve implantation (TAVI) and to identify baseline features and/or periprocedural variables, which may affect post-TAVI lengthofstay (LoS) duration. Methods and results: Patients discharged within 72 h of TAVI (early discharge group) were compared with consecutive patients discharged after 3 days (late discharge group). Propensity-matched cohorts of patients with a 2:1 ratio were created to better control confounding bias. Among 465 patients, 107 (23.0%) were discharged within 3 days of the procedure. Multivariable regression analysis of unmatched patients demonstrated that baseline New York Heart Association (NYHA) class IV (OR:0.22, 95% CI 0.05 to 0.96; p=0.045) and any bleeding (OR:0.31, 95% CI 0.74 to 0.92; p=0.031) were less likely to be associated with early discharge after TAVI. Conversely, the year of procedure (OR:1.66, 95% CI 1.25 to 2.20; p |
| Databáze: | OpenAIRE |
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